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Brief Care Management Home Visit, 20 Minutes

Indiana rates for HCPCS G0081

Brief (20 minutes) care management home visit for an existing patient. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Rates data updated October 2026.

How much does Brief Care Management Home Visit, 20 Minutes cost?

$47.86

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $120 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$42.66 to $53.70
FacilityA hospital or hospital-owned outpatient department$120$53.70 to $912

How much rates vary

Facilitymedian $120 · 10th to 90th $47 to $2,089Professionalmedian $47 · 10th to 90th $43 to $54
$50$100$200$500$1K$2Kfacility $120professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$48.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$22.91
Typical High
$24.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$9.33
Typical High
$9.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$6.92
Typical High
$7.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.68
Typical High
$4.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$53.70
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$70.79
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$912.01
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$48.98
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$57.54
Typical High
$81.28

Where Indiana sits

The same service costs 2.2 times more in Alaska than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 43rd of 51

$47.86

AK $89.13AZ $39.81

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.